PDF(Pubmed)
Abstract：
The global emergence of coronavirus disease 2019 (COVID-19) posed unprecedented challenges, jeopardizing decades of progress in healthcare systems, education, and poverty eradication. While proven interventions such as handwashing and mass vaccination offer effective means of curbing COVID-19 spread, their uptake remains low, potentially undermining future pandemic control efforts. This systematic review synthesized available evidence of the factors influencing vaccine uptake and handwashing practices in Kenya, Uganda, and Tanzania in the context of COVID-19 prevention and control. We conducted an extensive literature search across PubMed, Science Direct, and Google Scholar databases following Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Out of 391 reviewed articles, 18 were eligible for inclusion. Some of the common barriers to handwashing in Kenya, Uganda, and Tanzania included lack of trust in the government\'s recommendations or messaging on the benefits of hand hygiene and lack of access to water, while some of the barriers to vaccine uptake included vaccine safety and efficacy concerns and inadequate awareness of vaccination sites and vaccine types. Enablers of handwashing practices encompassed hand hygiene programs and access to soap and water while those of COVID-19 vaccine uptake included improved access to vaccine knowledge and, socio-economic factors like a higher level of education. This review underscores the pivotal role of addressing these barriers while capitalizing on enablers to promote vaccination and handwashing practices. Stakeholders should employ awareness campaigns and community engagement, ensure vaccine and hygiene resources\' accessibility, and leverage socio-economic incentives for effective COVID-19 prevention and control. Clinical trial registration: [https://clinicaltrials.gov/], identifier [CRD42023396303].
摘要：
2019年冠状病毒病(COVID-19)的全球出现带来了前所未有的挑战，危及医疗系统几十年的进步，教育,和消除贫困。虽然洗手和大规模疫苗接种等行之有效的干预措施提供了遏制COVID-19传播的有效手段，它们的吸收仍然很低，可能会破坏未来的大流行控制工作。本系统综述综合了肯尼亚影响疫苗摄取和洗手习惯的现有证据，乌干达，和坦桑尼亚在COVID-19预防和控制方面。我们在PubMed进行了广泛的文献检索，科学直接，和GoogleScholar数据库遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目。在391篇评论文章中，18人符合入选条件。在肯尼亚洗手的一些常见障碍，乌干达，坦桑尼亚包括对政府关于手部卫生和缺乏水的好处的建议或信息缺乏信任，虽然疫苗接种的一些障碍包括疫苗安全性和有效性问题以及对疫苗接种地点和疫苗类型的认识不足。洗手习惯的支持者包括手部卫生计划和肥皂和水的获取，而COVID-19疫苗的吸收包括改善对疫苗知识的获取，社会经济因素，比如更高水平的教育。这篇综述强调了解决这些障碍的关键作用，同时利用推动者促进疫苗接种和洗手实践。利益相关者应开展提高认识运动和社区参与，确保疫苗和卫生资源的可及性，并利用社会经济激励措施进行有效的COVID-19预防和控制。临床试验注册：[https://clinicaltrials.gov/]，标识符[CRD42023396303]。
